Individual
INGRID CAROLINE RUDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-8135
Mailing address
2 CLINTON ST APT 38, CAMBRIDGE, MA 02139-2332
(413) 345-3133
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2305344
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2305344
MA
Other
Enumeration date
09/11/2020
Last updated
05/18/2024
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